1. Vision for Tomorrow
Vision of a Fundamentally Different Future
Seeds of Disruption
Healthcare Isn't the First Industry in Transition
Where are We Currently?
2. Whose Agenda Controls Your Healthcare?
Why a Market-Based Model for Healthcare Is a Good Thing
How Did We Get into This Mess?
End of the Model Year
Understanding Healthcare Reform as Business Model Change
Central Role of Payment Reform
Unintended Consequences: The Hospital Example
Unintended Consequences: The Primary Care Example
Healthcare is Big Business
Creating A Competitive, Functioning Market
There is a Solution, and It's Closer than Some Think
3. In the Eye of the Storm: The Role of Consumers and Employers
A Personal Example
Shopping for Cancer Care: An Illustration
A Glimpse of the Business Model of the Future
Whose Agenda Controls Your Healthcare? Another Look
Perversion of the Concept of Insurance
New Sources of Competition for the New Consumer Patient
Transparency in Healthcare-Coming to Your Health System Soon!
Where Do Employers Fit into the Equation?
What Can Consumers and Employers Do?
Change in Never Easy, But It Is Possible
4. The Role of Data: Creating an Environment for Change
Comparative Effectiveness Research: An Overview
Drivers of CER
Why Is the Federal Government Specifically Involved?
Focus of CER
5. Redesigning Healthcare Delivery: Hospitals Were Never Meant to Be Destinations of Choice
Adapting to the Changing Landscape of Healthcare
Shrinking Reimbursement and Pressure for Transparency Are Reshaping Healthcare Delivery
Accountable Care is Needed; ACOs Are Not Laudable Goals
6. The Next Chapter in Healthcare Delivery
At-Risk Contracting: The Next Step in Improving Quality and Reducing Cost
What It Will Take to Deliver Value Tomorrow
Competing with a Bundled Price
Building the Value Narrative for Consumers, Employers, and Insurers
How Should Hospitals and Health Systems Change?
How Is Value Defined?
The Future of Rural Hospitals: Are They Still Viable?
7. A Brave New World for Payers
Adapting to the Changing Landscape of Healthcare
Insurance
Needed Here, Too: A Transfusion of Fresh Thinking
Rethinking the Customer
Rethinking Products
Implications for Healthcare Insurers
What Payers Can Do
Are You Ready for Disruptive Innovation?
8. Big Pharma: How to Regain Success: Sovaldi: Spotlight on Pharmaceutical Value
Vulnerabilities of the Current Model
Market-Driven Business Model
Pressures on Innovation
Role of Comparative Effectiveness in the Pharmaceutical Industry
Prudent Responses and Defensive Strategies
Looking Ahead
9. A New Day is Dawning for Medical Device and Diagnostics Manufacturers
Getting Products to Market When Value Is the Focus
Evidence Requirements: The Threat for Medical Devices
Healthcare Delivery Pressures: Additional Threats for Medical Devices
Prudent Responses and Defensive Strategies for Medical Device Companies
Comparative Effectiveness: The Opportunity for Diagnostics
Prudent Responses and Defensive Strategies for Diagnostics
Where Do Medical Device and Diagnostics Companies Go from Here?
10. Putting Value at the Center of Healthcare
What is the Legitimate Role of Policy?
Recent Legislative Solutions and Why They Won't Work
Accountability for Care Is a Good Concept
Enabling Markets to Create Access to Care
Supporting Innovation: Finding the Right Balance at the Food and Drug Administration
Patient Life: Shooting Ourselves in the Foot
11. Creating A Roadmap for Change
Revisiting the Challenge of Industry Transition
Safety in Size? The Rush to Affiliation
Additional Challenges for Manufacturers
Reprising the Consumer
Creating and Sustaining a New Business Model
Harnessing Consumer Choice and Competition to Ensure Accountability: Final Thoughts for Policy Makers
End Game